License holder summary

Derek M. Stephens, D.D.S. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Derek M. Stephens, D.D.S. is 3229 Broadway, Gary IN 46409-1036. This licensed professional license is not current. The license was granted 05/26/2005 and expired on 08/26/2014.

Indiana

Professional Licensing Agency

Derek M. Stephens, D.D.S.
Radiology - Radiation Facility Dental
License number
XF900996
Date granted
05/26/2005
Date expires
08/26/2014
Class
Radiology - Radiation Facility Dental
Status
Expired
Address
3229 Broadway, Gary IN 46409-1036
indianalicensing.org
ID 24932521
LAST UPDATED 2024-04-03 17:24:05 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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